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Fentanyl Users

namdoog55nnamdoog55 Posts: 14
edited 06/11/2012 - 7:48 AM in Chronic Pain
Didn't want to hijack Tammy's post about Fentanyl issues, but I've discovered one of my own that hasn't been discussed yet. I noticed after increasing from 12 to 25 mcg - I cannot drink a glass of wine with dinner anymore. It makes me nauseous the next day. As long as I don't drink wine (which is killing me) I don't get nauseous.

Has anyone else using Fentanyl experienced this? And if so, any remedies? Thanks in advance.



  • Most long-acting meds recommend you do not drink while taking them, and Fentanyl is one. It's quite clear in the patient literature.

    The alcohol is probably increasing the effects of the fentanyl and vice versa. Since this is a dangerous interaction, I'd suggest not drinking a glass of wine with dinner.
  • Welcome to Spine-Health! :)

    I think it's great that you started another thread about the Fentanyl patches. I look for any and all information from other fellow Fentanyl Patchers!

    I haven't had a glass of wine or any alcohol since my fall and surgery. I sometimes wish I could have a beer during football games, but due to the ER medication warnings... I won't take any chances. My stomach is just too sensitive and I have been on anti-nausea meds for 2 years now.

    I know a lot of people who have wine with dinner. And, I honestly feel wine has a lot of good qualities to it.

    If the wine didn't agree with you, that's definitely a sign to stay away from it. At least to me, it is. Plus, the warnings of alcohol use on our medication.

    I'm sure others will chime in and give you their advice.

    Just wanted to welcome you to Spine-Health and hope the patches provide you good pain relief. I am on my third one and over the hump with the withdrawls from Oxycontin. <:P

    Please keep us posted!

  • I don't know if the non-alcoholic wines have the same effect on the health benefits of wine? Perhaps that's a better choice for now for you right now. Hope you're getting better pain relief with the increase of Fentanyl. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Me and the Fentanyl are in it for the long run; I'm not a candidate for surgery. So I may have to look into non-alcoholic wine. It's just odd that the 12mcg Fentanyl didn't bother me with wine but the 25mcg does. I do get better pain relief with 25mcg & I don't have anything for breakthrough pain (may look into Jon's lollipops).

    As Tammy experienced, when I 1st went on Fentanyl I was nauseous all the time. Great pain relief - but I couldn't get out of bed to enjoy the relief! So I went down to the 12mcg which I could tolerate, but it didn't do much for the pain. And when I had another bad flareup recently I actually put a 2nd 12mcg on to see if I would get sick. So I asked my PM to increase to 25 & now I can tolerate it. I don't drink any other alcohol or smoke, so wine is/was my only vice.

  • I have only had the nausea twice and I don't think I had wine either of the nights before. I do drink wine on occasion though. I think mine was related to not eating before I took my vitamins and other medications (non-narcotic) in the morning. Mine was only in the early morning. I appreciate your comment though and I will certainly keep that in mind.
  • I hate to be the grumpy grunt, but, I would caution you on drinking any alcohol of any kind with Fentanyl patches. The combination can cause you to have respitory depression which you may not realize while you are sleeping. Sorry, but I just gave up any form of alcohol while on narcotics. I just have been on 125 mcg and know the effects the medicine alone can have, and dont want anything tragic to happen to any of my friends here!! :)
  • Unfortunately, alcohol as a vice just doesn't go well with long acting narcotics. I used to have a glass of wine with dinner as well, maybe two or three out with friends, but now that I am on LA, I rarely touch the stuff, and if I do it's never a full glass.

    And it might be different depending on the specific medication as well.

    But if you're noticing symptoms like that, I'd think it a pretty good sign that your body's saying "hey, don't do this!"

    I know it sucks, but way less than the pain right?
  • That's not the answer I wanted to hear, but in retrospect you're right. And yes it does suck!
  • namdoog55, my opinion is that of happyHBmom. How long ago did you switch strengths? If it has been recently, I would give your body a month to adjust to the new dosage.

    Also, I have a glass of wine with every dinner. And I take 20mg OxyContin tid and 15 mg Oxycodone tid. I have cleared the wine with my Dr's as it is a big part of our Italian heritage.
  • Good point... I only switched to the 25mcg patch a week ago - after being on the 12mcg strength for close to 2 yrs. So I will take your advice & try again in a month or so. I will know pretty much right away if I get nauseous or not.

  • Hello,
    I just received the fentanyl patch boy are they small,trying to get longer lasting pain meds,iam on percs sinse my faild fusion,failed scs,failed injections,sinse 1993 dr wanted me to try these patches but i dont see how a little thing will help,plus the there only 12mcg let me know what you people think Rick ncpa
  • wow-25 micrograms is a low dose, i used 100mics every three days and now i use oxycontin and i use fenatyl lollipops, atiq they are called. i use 500 mics 4xs a day. one should never drink alcohol with narcotics, a really bad idea. one can overdose if you do. marylyn monroe drank alcohol with barbituates but also narcotics a very bad idea. don't drink with any. if you have to have a drink, then you might need more help with alcohol. no wonder you get nauseous with narcotic.i still am surprised of the low dose, 25 mics he has you on. how many days do you change patches? do you use something for breakthrough pain with the patches? i was on percocet-5 mg/4 hrs with the patches
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
  • Erm.....u do know size isn't everything right!!lol It may be a low dose but a low dose of a strong drug!!!!Plus the patches get bigger (to a point) as/when/if u increase dosage.

    I never saw 12 mcg was started on 25mcg went to 2x100mcg but have been on 50 for some years as background analgesic.

    I am not advocating drinking with these but..everything in moderation and allthough I haven't drank in years and boy did I used to shift some lol I would be inclined to say ..Look your a grown up now and you know the risks so u have to make the choice that's right for you!!

    I have had times when pain has been so gut wrenchingly bad (with full meds) that I wanted to call it a day and One time only - I worked my way thru a half bottle of single malt - NO! Obviosly I'm not dead thank goodness but boy was I ill !!!lol
    So.... I suppose I'm saying u know the risks and you know your level so its your descision ;-)
    Its like peeps who don't take meds - they all have different tolerances to drink - Now, I can't drink a mouthful of wine but before ... Well that's then !! Lol xx
    Take care and don't underestimate small patches !! :-) x
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